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作 者:刘庭秀 刘新敏[1] 刘莹[1] 隋娟 武宇 赵瑜敬 毕红[1] 孙雪梅 范秀华 Liu Tingxiu;Liu Xinmin;Liu Ying;Sui Juan;Wu Yu;Zhao Yujing;Bi Hong;Sun Xuemei;Fan Xiuhua(Department of Gynecology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijingg 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;Changchun University of Chinese Medicine,Changchun 130117,China)
机构地区:[1]中国中医科学院广安门医院妇科,北京100053 [2]北京中医药大学,北京100029 [3]长春中医药大学,长春130117
出 处:《中华腔镜外科杂志(电子版)》2024年第3期189-192,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基 金:中国科学院科技创新工程(CI2021A02415)。
摘 要:目的探讨腹壁整形术后患者发现卵巢肿物并选择新脐与原腹壁整形瘢痕手术入路的安全性和可行性。方法腹腔镜术前评估患者腹壁整形术后状态,并结合相关文献,与患者充分沟通后,选择新脐与原腹壁整形瘢痕入路开展手术。结果腹腔镜穿刺入路选择新脐与原瘢痕入路,顺利建立气腹,完整剥除卵巢肿物,术中病理结果为交界性卵巢肿瘤(borderline ovarian tumors,BOT),术后第2日出院,1周后随访,切口愈合良好,术后1个月随访,体象量表评分(body image scale,BIS)5分,美容评分(cosmetology score,CS)23分。结论腹壁整形术后患者行腹腔镜手术,选择新脐与原腹壁整形瘢痕入路具有安全性与可行性,可于临床推广应用。Objective To investigate the safety and feasibility of surgical approach in ovarian fibroma after abdominoplasty.Methods Assess the patient's preoperative condition before laparoscopy,communicate with the patient,and review the relevant literature,to choose the new umbilicus and the original abdominal wall plastic scar as laparoscopic surgery approach.ResulstsLaparoscopicpuncture access was selected through the new umbilicus and the original scar route.The pneumoperitoneum was successfully established,and the ovarian tumor was completely excised.Intraoperative pathological findings suggested a right ovarian borderline ovarian tumor(BOT).The patient was discharged on the second postoperative day.Follow-up one week later showed good wound healing.At one-month postoperative followup,body image scale(BIS)score of 5,and a cosmetology score(CS)of 23.Conclusions Postoperative patients who have undergone abdominoplasty can safely undergo laparoscopic surgery by choosing the new umbilical and original abdominal wall plastic scar as the access route.
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